Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $21,960.90	Facility		$873.00	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,393.00 / $22,145.00	Facility		$3,612.00	$11,393.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $774.76 / $812.22 / $1,096.50	Professional		$774.76	$812.22	$1,096.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.82 / $938.63 / $1,791.00	Professional		$722.82	$938.63	$1,791.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,341.28 / $14,032.96	Facility		$55.00	$11,341.28	$14,032.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.27 / $347.12 / $365.52	Facility	AS	$148.27	$347.12	$365.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $769.51 / $1,039.60 / $1,518.68	Facility		$769.51	$1,039.60	$1,518.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,159.00 / $20,279.00	Facility		$1,836.00	$5,159.00	$20,279.00